| NPI | 1750836979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R252760) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NV APRN002326) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2022-11-02 |